| NPI | 1962018044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHOLL WAN KIM Owner 619-344-6918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2022-12-12 |